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� i. <br /> . � � • <br /> � PASCO COUN`Tl(, FLARIDA <br /> � <br /> � .. .. <br /> i Permit No. � <br /> Date Permitted ��--� <br /> � Builder Name/Owner Name � p <br /> r�L./� ��7�1�GLG Control# <br /> � County Parcel No. 6�Z�_�� (�7o...QQ�IJd��O�SubDiv: �� ��/��d <br /> � <br /> � Address/Location � 1 UP1�2�0 ��� I`/� <br /> � ClassificationlType of Use �j �� � ���,��, <br /> I . <br />, TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: Zj 3�Z <br /> I Exempt � Yes � No How Determined <br /> I Impact Fee Amount $ 3� �o�� Zone No. __ TqZ: <br /> I SCHOOL IMPACT FEE <br />, I Account (056) Single-Family Detached House Amount $ _ � �7�, Z� <br /> i (057) Mobile Home <br /> i (058) Other Resldential <br /> � 123) Collaction Fee <br /> � Exempt [�] Yes � No How Determined <br /> I PARKS AND RECREATIOM FEE <br /> � Land Account <br /> Land Credit Land Total <br /> I <br /> � Recreation Account Recreation Credit Recreation Total <br /> � Zone TOTAL AMOUNT $ `�� I S,6 <br /> I I <br /> � Exempt � Yes [] No How Determined <br /> . <br /> I LIBRARY FEE <br /> I Land Account Land Credit <br /> Land Total <br /> Facility Account Facility Credit <br /> Facility Total <br /> Exempt � Yes � No How Determined __ Total Amount�` <br /> RESOURCE FEE ERU <br /> TOTALAMOUNT <br /> I Prepared By � <br /> Checked B <br /> I Y <br /> I <br /> NO CERTIFICAYE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION <br /> PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE <br />, BEEN PAID AND <br /> RECEIPTED FOR BY A CEIdTRAL PERMITTING OFFICE OF PASCO COUNTY <br /> Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt of a copy of this form,placing <br /> the butlding permft owner on notice of this assessment and th�conditlons of a <br /> p yment for same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE __ gY <br /> � <br /> i �_ . . _.__ _ _. <br />